Mersey and West Lancashire Teaching Hospitals NHS Trust
Are you a skilled and experienced ACP/ANP looking for an exciting new challenge? Marshalls Cross Medical Centre is a forward-thinking, innovative practice committed to delivering the highest standards of patient care. We are currently seeking a dedicated professional to join our dynamic team and help us grow and improve our services.
At Marshalls Cross Medical Centre, you'll be part of a supportive and high-performing Partnership, working alongside an experienced clinical and administrative team. You'll have the opportunity to work in a multidisciplinary environment, collaborating with GPs, Nurses, Patient Care Advisors, Pharmacists, District Nurses, Community Matrons, and Social Services to provide exceptional care for our 7,000 patients, including residents of three care homes.
We pride ourselves on fostering a culture of continuous learning and development, ensuring all team members have opportunities to advance their skills and career.
Main duties of the job
* Conduct clinical assessments, take patient histories, diagnose, and provide treatment plans.
* Perform and interpret both invasive and non-invasive diagnostic tests.
* Prescribe safe and effective medication within the legislative framework.
* Deliver expert care and decision-making to meet patients' needs.
* Develop and lead specialist primary care services for long-term conditions like diabetes, asthma, and heart disease.
* Collaborate with the general practice team to achieve high-quality patient care and service delivery targets.
Job responsibilities
KEY DUTIES
CLINICAL RESPONSIBILITIES:
* Provide advanced levels of clinical practice, knowledge, and skills in General Practice.
* Undertake history and physical examination to accurately assess the patients clinical condition.
* Request, interpret and act upon relevant diagnostic tests and procedures.
* Interpret, convey, and act upon complex and conflicting information to MDT members/patients/relatives including in possible stressful situations, which may be delicate or offensive in nature (i.e. breaking bad news).
* Act as a clinical expert providing continuous support to the nursing staff and other MDT members within and outside designated area of work.
* Undertake advanced (invasive and non-invasive) procedures pertaining to patient need, in accordance with appropriate training and clinical supervision.
* Prescribe medication in accordance with current legislation and Trust policy.
* Maintain comprehensive, contemporaneous, and accurate clinical and documentation, utilising information technology where available to facilitate caseload management.
* Effectively manage acute life-threatening conditions in accordance with current ALS guidelines (as appropriate at area of work/need).
* Act as a role model through demonstration of high standards of practice, providing a clinical environment that motivates and encourages effective working partnerships.
* Participate in multidisciplinary, case conferences, clinical and audit meetings.
* Gain informed consent from patients for procedures undertaken by self or on behalf of others, both written and verbal, according to Trust policy.
* Provide evidence-based specialist knowledge and advice to patients, families/carers throughout the patients journey to meet their physical, emotional, and psychological needs.
* Provide clinical expertise in the management of patients utilising specialist theoretical and clinical skills.
* Issue Fit Notes and Prescriptions.
* Verification expected deaths as per Trust policy.
* Facilitate and support general practice doctors/Matron/Trainees to develop effective working relationships with the multi-disciplinary team to enhance the care and management of patients.
* Act as an autonomous practitioner exercising judgement, discretion and decision making in clinical care.
* To support junior medical staff, sharing clinical workload and allowing junior doctors to achieve training and development requirements.
* Act autonomously, referring to appropriate specialists/care agencies.
LEADERSHIP AND MANAGERIAL RESPONSIBILITIES:
* Ensure that the patient experience remains the focal point for service improvement within the Directorate.
* Provide support for nursing staff in relation to clinical support to complaints, PSiRF investigations.
* To contribute effectively to service developments both within the Directorate and at strategic level.
* Attend General Practice meetings as required.
* To act as a role model by demonstrating excellent communication and listening skills with patients, relatives, and staff.
* Promote effective team working within the team along with nursing and medical staff in the service.
* Network locally, regionally, and nationally to share and exchange ideas and principles.
* Provide an effective leadership role in contributing to own departmental issue pertaining to clinical governance agendas and shared governance within the Trust e.g., maintaining standards, risk management, clinical audit and research, standard setting, benchmarking, evidence-based practice, etc.
* Develop clinic skills as required and assist where necessary.
Person Specification
Qualifications
* Registered Nurse with current NMC registration
* MSc Advanced Practice
* Independent / supplementary nursing prescribing - V300
* Portfolio of evidence demonstrating up to date achievement of required competencies for advanced practitioner practice
* Evidence of on-going professional study and personal development clinical examination diagnostics
Knowledge/Understanding/Skills and Abilities
* Able to prioritise workload
* Audit and research experience
* Awareness of local and national targets and policies/guidelines
* Clinical risk management and governance experience
* IT competent
* Motivation and team building
* Ability to manage and prioritise own workload and assist junior clinical staff in managing leadership and mentor skills
* Prioritises balance of work to support flow of patients through the Practice
* Experience diagnostic skills (e.g. ABG's, CXRs, laboratory investigations)
* Ability to formulate differential diagnosis, initiate appropriate treatment and evaluate effectiveness.
* Experience and evidence of working collaboratively in a multidisciplinary environment.
* Evidence of effective leadership, practice development, expertise and innovation in clinical practice and research
* Advanced ability to disseminate sensitive information
* Experience of clinical practice benchmarking
* Ability to influence and work across professional boundaries
* Highly motivated and experienced practitioner
* Flexibility
* Ability to work as an independent practitioner
* Manage complex and competing issues remaining calm under pressure
* Advanced Procedural skills
* Experience of nurse triage including telephone triage
* Experience of working within the NHS
Qualities and Competencies
* Demonstrate an ability to lead and motivate individuals and teams
* Ability to present all work in a clear and concise manner appropriate to the target audience
Other
* Ability to manage conflict, effective negotiation skills
* Commitment to own professional development acknowledging own limitations
* Full driving licence
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Salary: £53,755 to £60,504 a year, pro rata
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